0
Independent
if the resident’s decisions in organizing daily routine and
making decisions were consistent, reasonable and organized reflecting lifestyle, culture,
values.
DiraChart MDS item reference
C1000Section Cv1.20.1Manual page C-19
Cognitive Skills for Daily Decision Making
Item Rationale
Quick coding
Answer Codes
Use the item-specific response choices below when structured codes apply.
Response format: Coded response
1
Modified independence
if the resident organized daily routine and made safe decisions in familiar situations, but experienced some difficulty in decision making
when faced with new tasks or situations.
2
Moderately impaired
if the resident’s decisions were poor; the resident
required reminders, cues, and supervision in planning, organizing, and correcting daily
routines.
3
Severely impaired
if the resident’s decision making was severely impaired; the resident never (or rarely) made decisions.
Item-specific instructions
Coding Guidance
Review what the item asks, how to choose the response, and what should be verified before submission.
Steps for Assessment
1. Review whether BIMS Summary Score item (C0500), is coded 99, unable to complete
interview.
C0600: Should the Staff Assessment for Mental Status (C0700–
C1000) Be Conducted? (cont.)
Coding Instructions
•
Code 0, no: if the BIMS was completed and scored between 00 and 15. Skip to C1310.
•
Code 1, yes: if the resident chooses not to participate in the BIMS or if four or more
items were coded 0 because the resident chose not to answer or gave a nonsensical
response. Continue to C0700, Short-term Memory OK, to perform the Staff Assessment
for Mental Status. Note: C0500 should be coded 99.
Coding Tips
•
If a resident is scored 00 on C0500, the Staff Assessment for Mental Status should not be
completed. 00 is a legitimate value for C0500 and indicates that the interview was
complete. To have an incomplete interview, a resident had to choose not to answer or had
to give completely unrelated, nonsensical responses to four or more BIMS items.
C0700–C1000: Staff Assessment of Mental Status Item
MDS item matrixAssessment Applicability
See where this item applies across Nursing Home, Swing Bed, discharge, required-use, OBRA, and program or policy columns.
18 relationships7 groups+
Assessment Applicability
See where this item applies across Nursing Home, Swing Bed, discharge, required-use, OBRA, and program or policy columns.
Nursing Home Subsets
Swing Bed Subsets
Shared NH/SB Subsets
OBRA Stand Alone Assessments
OBRA Admission A=01, B=99, F=99, G=^, H=0
MDS Item Matrix v1.20.1 v4
OBRA Quarterly A=02, B=99, F=99, G=^, H=0
MDS Item Matrix v1.20.1 v4
OBRA Annual / Sig Chg A=03, B=99, F=99, G=^, H=0 A= 04, B=99, F=99, G=^, H=0
MDS Item Matrix v1.20.1 v4
OBRA Discharge A=99, B=99, F=10, 11, G=1, 2, H=0
MDS Item Matrix v1.20.1 v4
Program and Policy Use
D/C Items (Only when A0310F = 10 or 11)
Item Subset Required Use ISC Skip Patterns
Official CMS source
Verify in the CMS Source
Open the mapped manual or item-set location without losing your place on this item page.
Reference details
Deeper help after the reference answer
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